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Ontario Medical Schools' Contribution to a Socially Accountable Primary Care Workforce: Associations with Pursuit of Extended Training and Practice in Rural or Remote Areas

dc.contributor.authorBouraleh, Saredo
dc.contributor.supervisorKendall, Claire E.
dc.date.accessioned2025-11-03T18:25:57Z
dc.date.available2025-11-03T18:25:57Z
dc.date.issued2025-11-03
dc.description.abstractBackground: This thesis examines how Ontario's medical schools contribute to the primary care workforce. Methods: We used data from the College of Physicians and Surgeons of Ontario to conduct two cross-sectional cohort studies of the association between family medicine graduates' characteristics and our two outcomes: pursuit of extended training and practice in rural/remote settings. Results: Between 1995 and 2021, 25.3% family medicine graduates pursued extended training. After adjustment, Queen's University graduates had significantly higher odds of pursuing extended training compared to NOSMU (males: OR=2.03; 95% CI: 1.31-3.16; females: OR=5.32; 95% CI: 3.48-8.14). Among 2263 recent graduates, 10.4% were practicing in rural/remote areas. Graduates from the University of Toronto (OR=0.12; 95% CI: 0.07-0.21) and McMaster University (OR=0.23; 95% CI: 0.14-0.38) had the lowest odds of practicing in rural/remote areas compared to NOSMU. Conclusion: Findings underscore the need for policy and training reforms to support a socially accountable workforce.
dc.identifier.urihttp://hdl.handle.net/10393/50994
dc.identifier.urihttps://doi.org/10.20381/ruor-31485
dc.language.isoen
dc.publisherUniversité d'Ottawa / University of Ottawa
dc.rightsAttribution-NoDerivatives 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by-nd/4.0/
dc.subjectPrimary Care
dc.subjectSocial Accountability
dc.subjectExtended Family Medicine Training
dc.subjectPractice in Rural or Remote Areas
dc.subjectOntario Medical Schools
dc.titleOntario Medical Schools' Contribution to a Socially Accountable Primary Care Workforce: Associations with Pursuit of Extended Training and Practice in Rural or Remote Areas
dc.typeThesisen
thesis.degree.disciplineMédecine / Medicine
thesis.degree.levelMasters
thesis.degree.nameMSc
uottawa.departmentÉpidémiologie et santé publique / Epidemiology and Public Health

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